Registration for In-person Counsellors
Email address *
Name *
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Telephone Number *
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BACP Registration Number *
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Address of counselling premises;
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Qualifications held *
Documents checklist; please select to confirm you can email scanned copies of the following.. *
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I will provide session reports regarding work with this client within 24 hours of the session *
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This form was created inside of Mable Therapy.